不同孕龄未足月胎膜早破患者期待治疗的效果对比观察

A comparison of the effect of expectant treatment in patients with premature rupture of membranes at different gestational ages

目的探讨不同孕龄未足月胎膜早破患者期待治疗的效果对比。方法根据孕龄差异对本院2017年1月至2018年4月收治的80例未足月胎膜早破患者分组。对照组是孕龄在28～31周的孕妇,观察组是孕龄在32～34周的孕妇。两组均给予期待治疗。比较两组未足月胎膜早破治疗并发症发生率;期待治疗时间、产后出血量;新生儿不良预后发生率。结果观察组未足月胎膜早破治疗并发症发生率低于对照组,差异具有统计学意义(P<0.05);观察组期待治疗时间、产后出血量优于对照组,差异具有统计学意义(P<0.05);观察组新生儿不良预后发生率低于对照组,差异具有统计学意义(P<0.05)。结论孕龄在32～34周的孕妇期待治疗的应用效果确切,可有效改善母婴结局,缩短期待治疗时间、减少产后出血量,值得推广应用。

Objective To investigate the effect of expectant treatment on premature rupture of membranes in premature infants of different gestational ages. Methods According to the random number table method, 80 cases of premature rupture of membranes from January 2017 to April 2018 were divided into different groups. The control group was pregnant women with gestational age of 28 to 31 weeks, and the observation group was pregnant women with gestational age of 32 to 34 weeks. Expectant treatment was given to both groups. The incidence of complications of premature fetal membrane rupture in both groups was compared;expectant treatment time, postpartum hemorrhage, and neonatal poor prognosis. Results The incidence of complications of premature fetal membrane rupture in the observation group was lower than that in the control group (P<0.05);Expected treatment time and postpartum hemorrhage in the observation group were better than those in the control group (P<0.05);The rate was lower than the control group (P<0.05). Conclusion The effect of expectant treatment for pregnant women with gestational age of 32-34 weeks is definite, which can effectively improve the maternal and infant outcomes, shorten the expectant treatment time and reduce postpartum hemorrhage. It is worthy of popularization and application.